Provider Demographics
NPI:1821619966
Name:DR PAZ CASANOVA DENTAL GROUP INC
Entity Type:Organization
Organization Name:DR PAZ CASANOVA DENTAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPA
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:MUHAMMAD
Authorized Official - Last Name:FAROOQ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:909-238-5361
Mailing Address - Street 1:8151 ARLINGTON AVE STE R
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-0437
Mailing Address - Country:US
Mailing Address - Phone:909-238-5361
Mailing Address - Fax:909-972-1672
Practice Address - Street 1:8151 ARLINGTON AVE STE R
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-0437
Practice Address - Country:US
Practice Address - Phone:909-238-5361
Practice Address - Fax:909-972-1672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty